Doctor Name: | MS. KERRI A. NIXON |
NPI Number: | 1669760054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F382224-1 |
Business Practice Address: | 3950 E Robinson Rd Ste 205 West Amherst, NY - 142282044 |
Business Phone Number: | 7166913400 |
Business Fax Number: | |
Mailing Address: | 3950 E Robinson Rd Ste 205, WEST AMHERST |
State: | NY |
Postal Code: | 142282044 |
Phone Number: | 7166913400 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2011 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F382224-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |